MEDICARE: CHARLES W BUTLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	MD00043901	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528004488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES W BUTLER MD

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	3400 CALIFORNIA AVE SW STE 300
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98116-3307
Country	:	US
Telephone Number	:	206-320-3399
Fax Number	:	206-320-5506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	11/10/2021

Similar Medicare Providers

1184078594 — RACHEL ANN KOPICKI M.D.
Practice Location Address:

3400 CALIFORNIA AVE SW
SEATTLE, WA
98116-3307

Practice Phone: 206-933-1041
Practice Fax: 206-933-1047

1386662245 — MS. STEPHANIE FEIFS FNP, ARNP
Practice Location Address:

3400 CALIFORNIA AVE SW
SEATTLE, WA
98116-3307

Practice Phone: 206-320-3399
Practice Fax: 206-320-5506

1225113566 — BRUCE A. BONSACK MD
Practice Location Address:

3400 CALIFORNIA AVE SW , SUITE 300
SEATTLE, WA
98116-3307

Practice Phone: 206-320-3399
Practice Fax: 206-320-5506

1710167176 — KATHERINE JARRETT WINBORN DPT
Practice Location Address:

3400 CALIFORNIA AVE SW , STE 100
SEATTLE, WA
98116-3307

Practice Phone: 206-320-5510
Practice Fax: 206-320-5522

1821263336 — RAANAN SUSANNE ODOM M.D.
Practice Location Address:

3400 CALIFORNIA AVE SW STE 200
SEATTLE, WA
98116-3307

Practice Phone: 206-320-5780
Practice Fax: 206-320-5794

1811148299 — STEPHANIE L GREENE MS, PT
Practice Location Address:

3400 CALIFORNIA AVE SW , SUITE 100
SEATTLE, WA
98116-3307

Practice Phone: 206-320-5510
Practice Fax: 206-320-5522

Directions to “ CHARLES W BUTLER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.